End of Month (EOM) Report
This form is for the reporting of WORK FUND expenses only. Complete and accurate records must be kept by all missionaries. The IRS requires FBMI to be the custodian of all receipts over $75.00. Please include scans of all those receipts with this report. Any disbursements from your personal fund or any payments made to FBMI from your work fund may not be included. Please send reports in U.S. Dollars. Each month's report is due by the 25th of the following month.
Name
*
First Name
Last Name
Suffix
Missionary Number
Month
*
Please Select
January
February
March
April
May
June
July
August
September
October
November
December
Enter the month for which you are submitting a report.
Year
*
Please Select
2024
2025
2026
On deputation?
*
Yes
No
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Payroll Voucher
You are reporting on the work fund use of support that was deposited at the end of the previous month. Therefore, if you are submitting the report for February, for example, you would enter the numbers for your Payroll Voucher from the end of January. ENTER THE FOLLOWING FIGURES DIRECTLY FROM YOUR PAYROLL VOUCHER. (Any of these designations not showing on your voucher should be left blank.)
Compensation
EOM (Reg)
Fixed Salary + Derived Salary from previous EOM
HA (Reg)
Amount designated as Housing Allowance
WF (Reg)
Amount designated as Work Fund
SS (Reg)
Amount designated as Straight Salary
Negative Work Fund
Total Support
Matches total from FBMI Missionary Support Statement
TS (Reg)
Team Salary
TF (Reg)
Team Travel Funds
Total Compensation
Matches Compensation amount on Payroll Voucher
Total for Box B
Automatically transferred to Box B (Potentially Taxable Income Received)
Ministry Expenses shown on your Payroll Voucher
It is not necessary to enter any non-taxable benefits marked as (no-tax)
Mail Services
Printing Services
Transaction Fees
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Ministry Income
Box A (Opening Balance of First Financial Bank Business Account)
*
Enter the balance just before the support deposit used during the report month. (For February's report, use the balance just before January's support was deposited.) This must match your previous EOM's Ending Balance.
Box B (Potentially Taxable Income Received)
Box C (Support & Love Offerings Given Directly to You)
Box D (Ending Balance of First Financial Bank Business Account)
*
Enter the balance just before the support deposit at the end of the report month. (For February's report, use the balance just before February's support was deposited.)
Box E (Fixed Personal Salary)
For active missionaries who are not on deputation, this is $600 per adult and $150 per dependent child.
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Ministry Expenses
Do you have claimable vehicle expenses?
*
Yes
No
How are you claiming vehicle expenses?
A. Actual Ministry Expenses (Gas, Oil, Repairs, Other)
B. Mileage (Business miles driven)
Vehicle Expenses
Business miles
Business miles x Rate (Hidden)
Travel Expenses
Meals & Lodging
Please note:
Per diem rates are available at gsa.gov. Meals & Incidentals are claimed at a 75% rate for the first and last day of travel.
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Please submit all receipts for ministry expenses over $75.00. You may also email receipts to finance@fbmi.org.
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Total Available Income
Total Income Used
Derived Salary
Fixed Salary
Reported Salary (15C)
Total Expensed
Reimbursed Expenses
Submit
Should be Empty: